Jon Ashworth: I thank the Minister for advance sight of his statement. Let us be frank: it was a shambles yesterday. It was an insult to the House and a let-down for health and care staff.
Ministers have been dragged kicking and screaming to this 3% settlement. Can the Minister accept—and does he accept—that it is not an NHS-wide settlement, as it does not cover the health and care workforce who do not fall under the pay review body? For example, it does not cover our junior doctors who have had an intense year caring for sick patients on ventilators, who have been redeployed to other sites across the NHS and who have seen their training disrupted. Will the junior doctors get a pay rise, especially given that the pay review body, in paragraph 10.6 of its report, urges the Government to recognise the role of doctors who are out of scope? Will all health staff who work in public health receive the settlement? Care workers are obviously not covered by the pay review, and we know how valuable they are, so will care workers finally get the real living wage that they deserve?
How will the pay settlement be funded? NHS trusts do not even know what their budget will be beyond September. The Health Secretary has said that the pay settlement costs £2.2 billion, so where is that £2.2 billion coming from? Is he expecting trusts and general practice to find it from their existing budgets? At a time when the NHS is in a summer crisis, with covid admissions increasing and more patients on ventilators in hospitals, with operations being cancelled again and waiting times growing because of the pressures the NHS is under, rather than getting a funded settlement for the NHS we have seen this week briefing and counter-briefing from the Health Secretary, the Chancellor and Downing Street about what may or may not be coming for health and social care.
The NHS needs more investment now to cope with the pressures that it is under. Will the Minister confirm that the Government will break their manifesto pledge to increase national insurance, or is the Business Secretary correct in what he said this morning? He said:
“I don’t see how we could increase national insurance”.
The Prime Minister promised, on the steps of Downing Street two years ago this Saturday, that he would have a social care plan, but this is not a plan for health and social care; it is a Government in disarray.
That brings me on to the so-called “endemic” problems of isolation. The problems of isolation that we are seeing are a symptom of what happens when Ministers allow infections to get out of control. The Government are apparently U-turning today and agreeing a list of workers who could be exempt from isolation, based on a negative PCR test. With infections running at more than 50,000 a day, and possibly on the way up to 100,000 a day, can the Minister absolutely guarantee that PCR testing capacity will be available to cope with the inevitable increased demand this summer?
If the Minister wants to avoid shutting society down, he needs to bring infections down, so why have the Government ruled out extending statutory sick pay to the lowest-paid, and what is he doing to drive up the vaccination rate among younger adults? He knows that allowing infections to rise among that cohort sets his vaccination programme back, given that somebody has to wait 28 days post-infection for vaccination.
Today the Minister has repeated his support for vaccine passports. Can he explain why he thinks it is safe to go out clubbing into the early hours this Friday, but in September it is only safe to go out clubbing if everybody is double-jabbed? Can he confirm when the relevant statutory instrument will be laid, and when the vote will be on introducing those passports?
The Minister has a proposal for nightclubs in September, but does he have a proposal for schools in September? A million children have been off school recently, so, as we asked him on Monday, will he use this summer to install air filtration units in schools in time for September, and is he considering bringing mask-wearing back in schools?
Finally, Mr Speaker, may I, like the Minister and others across the House, thank you, and all the staff especially, for the extraordinary work that you have  put in, in these last 12 months, to ensure the smooth running of Parliament in these most unprecedented of circumstances? I hope you are all able to have a suitable rest over the summer recess.